Organization
SOCO ENDO
Active
Other names
Southern Colorado Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER J. BOSS DDS (ENDODONTIST/OWNER)
(719) 301-1131
Entity
Organization
Contact information
Practice address
1275 LAKE PLAZA DRIVE, SUITE #200, COLORADO SPRINGS, CO 80906
(719) 301-1119
(719) 301-1131
Mailing address
1275 LAKE PLAZA DRIVE, SUITE #200, COLORADO SPRINGS, CO 80906
(719) 301-1119
(719) 301-1131
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/28/2016
Last updated
11/22/2023
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